Multiple myeloma mimicking bone metastasis from breast cancer: report of a case

A 72-year-old woman with a history of early breast cancer suffered a fracture of the eighth thoracic vertebra resulting in paraplegia. Magnetic resonance imaging (MRI) showed spinal cord compression by a tumor between the ninth and tenth thoracic vertebrae. Local radiotherapy was begun under the dia...

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Bibliographic Details
Published in:Surgery today (Tokyo, Japan) Japan), 1998-01, Vol.28 (12), p.1304-1306
Main Authors: Tomono, H, Fujioka, S, Kato, K, Yoshida, K, Nimura, Y
Format: Article
Language:English
Subjects:
Aged
Breast Neoplasms - pathology
Carcinoma, Papillary - pathology
Diagnostic Errors
Fatal Outcome
Female
Humans
Magnetic Resonance Imaging
Multiple Myeloma - complications
Multiple Myeloma - diagnosis
Multiple Myeloma - therapy
Spinal Cord Compression - etiology
Spinal Neoplasms - complications
Spinal Neoplasms - diagnosis
Spinal Neoplasms - therapy
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Summary:A 72-year-old woman with a history of early breast cancer suffered a fracture of the eighth thoracic vertebra resulting in paraplegia. Magnetic resonance imaging (MRI) showed spinal cord compression by a tumor between the ninth and tenth thoracic vertebrae. Local radiotherapy was begun under the diagnosis of metastatic breast cancer, but bone marrow aspiration and biopsy subsequently revealed plasma-cell proliferation rather than adenocarcinoma. This case report serves to demonstrate that clinicians should consider multiple myeloma as a cause of lytic bone lesions without extraskeletal metastases even in patients with a history of breast cancer.
ISSN:0941-1291
1436-2813
DOI:10.1007/BF02482821